CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HCA Florida Northwest Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $561
Cash Discount Price: $2,159
vs. Medicare Baseline: 6.31x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at HCA Florida Northwest Hospital is $561. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,159. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.31x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$2,159

Average discount available for prompt cash payment at this facility.

Insurance Median

$561

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $2,159 (2428%)

Insurance Median: $561 (631%)

Cash: $2,159 (2428% of Medicare)

Ins. Median: $561 (631% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 631% of the Medicare baseline (a markup of 531%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
United	$182 - $972	205%
Freedom Health	$186 - $345	209%
Optimum	$186	209%
Avmed	$281 - $1,080	316%
Simply Healthcare Plans	$281	316%
Molina	$410 - $583	461%
Humana	$453 - $734	510%
Corvel Corporation	$457	514%
Health Sun Health Plan	$460	517%
Careworks (Rockport)	$467	525%
Prime Health	$467	525%
Mmm Of Fl (Health Advantage Plan)	$497	559%
United Ppo	$512	576%
Sunshine State Health Plan	$570	641%
Aetna	$648	729%
Blis	$756	850%
Plotkin Health	$1,080	1215%
Prime Health Sherriff	$1,080	1215%
Medica Healthcare	$1,252	1408%
Multiplan	$1,619 - $1,835	1821%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,159.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Northwest Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.